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Jubilee Home

Peer Specialist in Durham, NC. Organization (NPI-2).

NPI number1013838788
StatusActive
Last updated in NPPESJul 21, 2026

Details

NPI
1013838788
Entity type
Organization (NPI-2)
Legal business name
Jubilee Home
Organization subpart
No
Enumeration date
Jul 21, 2026
Certification date
Jul 1, 2026
Last updated
Jul 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
101YM0800X Counselor, Mental Health––
1041C0700X Social Worker, Clinical––
172V00000X Community Health Worker––
174200000X Meals––
177F00000X Lodging––
251B00000X Case Management––
261QR0800X Clinic/Center, Recovery Care––
305S00000X Point of Service––
372600000X Adult Companion––

Practice location

1213 Dawkins Street
Unit A
Durham, NC 27707

Phone 919-381-4431

Mailing address

1213 Dawkins Street
Unit A
Durham, NC 27707

Authorized official

Carlton Johnson
Director Of Resident Care
9193814431

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